How to use social prescribing to support Population Health Management A guide for Primary Care Networks Population Health Management is an evidence- based approach to reducing health inequalities “Health inequalities are unfair and avoidable differences in health across the population, and between different groups within society. [...] • The PCN DES identifies that link workers have responsibilities beyond direct patient care, including to “draw on and increase the strength and capacity of local communities” and to “work collaboratively with all local partners to contribute towards supporting the local voluntary, community and social enterprise (VCSE) organisations and community groups to become sustainable and that community as. [...] Understand the case for investing in social prescribing Social prescribing has the potential to improve outcomes for all patients and add value throughout your network’s plans, but it needs to be linked in properly. [...] • How can you link information about your patients’ engagement with social prescribing with other local health data set so that you can monitor its impact? The Social Prescribing Information Standard mandates GP IT systems and social prescribing software suppliers to enable recording of patient level social prescribing, through a minimum data set and use of additional SNOMED codes. [...] What support do your social prescribing colleagues require to routinely record high quality data? • If you are seeing that social prescribing reduces demand for further healthcare, what is the value of that saving and where is the greatest potential to increase it? Combine quantitative data with patient stories on the impact it has had on their lives to gain the best insights.
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